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Home My WebLink AboutApplicationGarfield County BUILDING PERMIT APPLICATIONCommunity Development Department RECËlVËD to8B,h Street, Suite 401 SEF 2 4 aol8o'"n-Ëi'ìt#:ï'r:o 81601 GARFIELDCOU@ iìOMMIINITY DEVELOPMENT WPE OF CONSTRUCTION E Commercial/Multi-Fam f-l Demolition E Manufactured Home (Single or Multi-Level) Rerooffl Residential (SF, DuplexorTownhome) INVOTVED PARTIES Jo L )tq 541- L1S7 V cÒ Property Owner: Mailing Address: Email Address: eÕ q r sVOL (^ tÌ1¡' ,eû!.{1 Phone:1o ^/4 e o 'cdY(\| 0"¡< ro ohEmail Address: qs -7q72 aAMailing Address: Contractor:tt co <\øz t ,1 0 a Architect:Phonel I ) Mailing Address: Email Address Enpineer:Phone: ( ) Mailing Address: Email Address: VR"prit I I ruove/Relocation PROJECT DETAITS V tÇloV Addit¡on Work:Describe\( Lot WMEM New Sub. l/ Phone: { ) (6ó{ . lneløt\ h rcel Owne/s Valuation of Work: Block Property Size (Sq. Ft. or Acres): Manufactured Home lnstaller: Alteration Sq. Ft. of Building: Class of Work: Height: - S of Mailing Address: Email Address: Job Address: Assessor's Pa l ] DetachedGarage:Attached PROJECf DETAITS CONTINUED Septic: Type of Heat: Driveway Permit: OWTS Natural Gas mptExe Pr upat re mun¡ty Permit #: Other NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Division. Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced wÌthin 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION I hereby certify that I have read this Application and that the information contained above is true and correct. I understand that the Building Division accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming completeness of the submittals and approval of th¡s Application, a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division. ln consideration of the issuance of the Building Permit, I agree that I and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Buílding Permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. I further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construct¡on or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law. Review of this Application, including submittals, and inspections of the work by the Building Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. Property Owner Print and Sign Date Electric OFFICIAL UsE ONLY '{òto'} $Loo-co ? Þ!-l tg Special Conditionsl Adjusted Valuation\ñ lÈ-Plan Check Feelùtcr Sö[i";oo Manu home Fee: \\/ß ''äï7þ Total Fdes: nvr, 9t cÕ.""Fees Pãid: 9lon.0o Balance Due:.Þó.ôo BP t!b: ññ'-s-sÔ2 OWTS frlo:-DJ-/4 Setbacks:N\/TL OCC Grouo:pr L 'Tyð'_'*Ð{r¡ L BUILDING / PLANNING DIVISION : Signed Approval Date PRÖJEgT rFrilr3 corniluED I Commünùv I rba,ic , floirtu' flrermit #: Saptlc; Type ofHeeti Ddrreüay Permlt: flon*¡ l_lNatural Gas i.- l__lExempt '[ r.on"nt r¡gncE-1 -Y¡ -jr'1.Permit must be signed -¡'V ttru Owner of the property, descrlbed above, åuthofiw,This aPPlícation for a Building or an aulhorized agent, lfthe signaturê below is not that of the Owner, a separãte letter of authority, signed by the Owner, must be Provided wlth this APPlication. leral Acces.A Building Permit cannot be issued without proof of legal and adequatc access to the propertr¡for purPoses of insPections by the Building Dlvision. Gtl¡¡t Pernlt¡.Multiple separate Permits maY be required:(ltState Electrícal Permlt, (2) Côunty OWTS Permit, t3l another Perm it reguired for use on the Property identified ðbove, e.g. State or County Highwayl Road Access or ã State Wastewater Dlscharge Permit' null and void if the work authori¡ed is not commenced within 180 daysVjld P,ormlt A Building PermÎt becomes of the date of issuance and if work ls susPended or abandoned for a period of 180 days after commencement' : GEßTTFICATIO¡{ I hereby that I have read this Application ând that the information contained ãbove ¡s ffue and correst. I certifY e Applicatlon, along wlth the plans and speclfications and otherunderstandthat the Euildlng Division accepts th data submitted by me or on mV behalf {submittals},based upon my certification as to accuraÊV. Assuming completenets of the submittals and approrral oT this Application,a Building Permit wifl be issued grånting permission to m€¿ es owner, to construct the structurê(s) and faciliti es detailed on the submittals reviewed by the Building Divi$¡on.ln consideration oJ the issuance of the Building Permi! lagree that land my agents will comply with Provisions of any federal, state or local law regulating the work and the Garfield County Suilding Code, OWTS regulations and appllcable land use regulations (County Regulation{s})' I acknowlÊdge that the Building Permit mav be suspended or revoked, upon not¡cê from the county, if the location. construction or use of the structure(sl and facility(iesl, de¡crlbed above,are not in compliance with CountY Regulation{sl or any other applícable law. ' I hereby grant permission to the Building Division to enter the property, described above, to lnspect the work. I further acknowledgê thar the lssuançe of the BuildinÊ Perm¡t does not prevent the Buildlng Officialfrom: (l) requiring the correstion of errors in the submittals, if any, discovered after issuancej or {2} stopping construction or use of the structure{s) or facility(íes} if such is in violation of CountY Regulation(s) or any other applicable law Review of this Application, including submittals, and inspections of the work by the Building Division do not çonstitute an acceptance of responsibility or liability by the County of errors, om¡sslons or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect :designer, engineer and/ or builder. . l I hereby acknowledgc that I have read and understãnd the t{o-tice and Certffrcatlon above, as urall af, ha$€ pruvlded the requlrcd lnformetion whictr ls correut and accurate to the be¡t of my knowledge. x Pnqperty fh¡ner Print and SEn Oate B ----q*-- oiltYOFFIclAt Spccial [onditlons: Adlusted Valu¡tion:Plan €heck Fee:Pcrmít Fee:ñírnu home Fee:Mi¡c Fee¡: Total Feesl Fces Paid:Balancc Due:BP lto-:OlâffS fto: Setbaclc:OCCGroup:Con$Typa:loninr SUTLD|NG / pt-år{ñ{NG DtVtStON : Approvrl D¡tc